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ADAM JOSHUA FARRELL WANDELL DDS, MD
NPI 1871021709
Oral & Maxillofacial Surgery in Healdsburg, CA

Active since May 23, 2017Opted out of Medicare · through Mar 15, 2028
445 MARCH AVE STE B, HEALDSBURG, CA 95448(650) 714-3694 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Aug 22, 2023, May 23, 2017 (3 updates tracked since 2017).

About Adam Joshua Farrell Wandell Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM JOSHUA FARRELL WANDELL DDS, MD (NPI 1871021709) is an individual oral & maxillofacial surgery provider in Healdsburg, California, licensed in California (105937) and active in the NPI registry since May 2017. He has opted out of Medicare through March 15, 2028 and remains eligible to order and refer and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1871021709
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameADAM JOSHUA FARRELL WANDELLCredential: DDS, MD
Location Address445 MARCH AVE STE BHealdsburg, CA 95448-3383
Mailing Address9961 Herb RdWindsor, CA 95492-9435 · (650) 714-3694
Phone(650) 714-3694
Sole ProprietorNo
Enumeration DateMay 23, 2017
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1871021709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CA · 105937
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 105937 (CA)
445 MARCH AVE STE B, Healdsburg, CA 95448
Open in Google Maps ↗

Secondary Practice Location 1

Location 1511 Gerona RdStanford, CA 94305-8451 · Phone (650) 714-3694

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Adam Joshua Farrell Wandell Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES LELIS DDS, MD
Oral & Maxillofacial Surgery
445 MARCH AVE STE B
HEALDSBURG, CA 95448
Sonoma County (707) 433-0231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Wandell's NPI number?

The NPI number for Adam Wandell is 1871021709. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Adam Wandell located?

Adam Wandell practices at 445 March Ave Ste B, Healdsburg, CA 95448. The listed phone number is (650) 714-3694.

What is Adam Wandell's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Adam Wandell enrolled in Medicare?

No. Adam Wandell has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Adam Wandell was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.